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Article: Investigation of factors associated with treatment-seeking in Southern Chinese with orofacial pain.

TitleInvestigation of factors associated with treatment-seeking in Southern Chinese with orofacial pain.
Authors
Issue Date2010
PublisherQuintessence Publishing Co Ltd.
Citation
Journal Of Orofacial Pain, 2010, v. 24 n. 2, p. 181-188 How to Cite?
AbstractAIMS: To investigate key factors associated with treatment-seeking for orofacial pain symptoms in community-dwelling adult Chinese people in Hong Kong. METHODS: A cross-sectional study was conducted using a Hong Kong Hospital Authority Family Medicine Clinic as the sampling frame. People aged 35 to 70 years with recent orofacial pain symptoms participated. Standard questions were asked about orofacial pain symptoms and characteristics in the previous month, Oral Health Impact Profile (OHIP-14), General Health Questionnaire (GHQ-12), Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) depression/nonspecific physical symptoms (NPS) scales, sleep and illness behavior measures, and questions on pain disability, professional treatment-seeking, pain medication usage, and dental attendance were administered prior to a standard clinical assessment. Multiple logistic regression with a forward stepwise selection method was used for data analysis. RESULTS: Two hundred people with orofacial pain symptoms participated in the definitive study. Twenty-seven percent had sought professional advice. The majority had consulted a medical practitioner (66.7%) or dentist (40.7%), 16.7% had consulted a traditional Chinese medicine (TCM) practitioner, and the majority (60%) had taken pain medication. There was no significant association between different orofacial pain diagnoses and professional treatment-seeking (P = .602). Four independent factors were significantly related to an increased likelihood of treatment-seeking (P < .05): more frequent dental attendance for check-up (odds ratio [OR] > 3), time when pain was experienced during the past month (days) (OR > 5), multiple pain symptoms (OR = 4.99), and use of TCM when ill (OR = 3.31). CONCLUSION: Professional treatment-seeking for orofacial pain was low in this ethnic group. The strongest predictor of treatment-seeking for orofacial pain was an increase in the number of days when pain was experienced during the past month. Key factors associated with treatment-seeking should be considered when formulating community health outreach programs. A further validation study with a larger sample size is recommended to confirm the present findings.
Persistent Identifierhttp://hdl.handle.net/10722/129054
ISSN
2015 Impact Factor: 2.824
2015 SCImago Journal Rankings: 0.599
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorZheng, Jen_HK
dc.contributor.authorMcMillan, ASen_HK
dc.contributor.authorWong, MCen_HK
dc.contributor.authorLuo, Yen_HK
dc.contributor.authorLam, CLen_HK
dc.date.accessioned2010-12-23T08:31:56Z-
dc.date.available2010-12-23T08:31:56Z-
dc.date.issued2010en_HK
dc.identifier.citationJournal Of Orofacial Pain, 2010, v. 24 n. 2, p. 181-188en_HK
dc.identifier.issn1064-6655en_HK
dc.identifier.urihttp://hdl.handle.net/10722/129054-
dc.description.abstractAIMS: To investigate key factors associated with treatment-seeking for orofacial pain symptoms in community-dwelling adult Chinese people in Hong Kong. METHODS: A cross-sectional study was conducted using a Hong Kong Hospital Authority Family Medicine Clinic as the sampling frame. People aged 35 to 70 years with recent orofacial pain symptoms participated. Standard questions were asked about orofacial pain symptoms and characteristics in the previous month, Oral Health Impact Profile (OHIP-14), General Health Questionnaire (GHQ-12), Research Diagnostic Criteria for Temporomandibular Disorders (RDC/TMD) depression/nonspecific physical symptoms (NPS) scales, sleep and illness behavior measures, and questions on pain disability, professional treatment-seeking, pain medication usage, and dental attendance were administered prior to a standard clinical assessment. Multiple logistic regression with a forward stepwise selection method was used for data analysis. RESULTS: Two hundred people with orofacial pain symptoms participated in the definitive study. Twenty-seven percent had sought professional advice. The majority had consulted a medical practitioner (66.7%) or dentist (40.7%), 16.7% had consulted a traditional Chinese medicine (TCM) practitioner, and the majority (60%) had taken pain medication. There was no significant association between different orofacial pain diagnoses and professional treatment-seeking (P = .602). Four independent factors were significantly related to an increased likelihood of treatment-seeking (P < .05): more frequent dental attendance for check-up (odds ratio [OR] > 3), time when pain was experienced during the past month (days) (OR > 5), multiple pain symptoms (OR = 4.99), and use of TCM when ill (OR = 3.31). CONCLUSION: Professional treatment-seeking for orofacial pain was low in this ethnic group. The strongest predictor of treatment-seeking for orofacial pain was an increase in the number of days when pain was experienced during the past month. Key factors associated with treatment-seeking should be considered when formulating community health outreach programs. A further validation study with a larger sample size is recommended to confirm the present findings.en_HK
dc.languageengen_US
dc.publisherQuintessence Publishing Co Ltd.-
dc.relation.ispartofJournal of orofacial painen_HK
dc.subject.meshAdult-
dc.subject.meshAged-
dc.subject.meshAnalgesics - therapeutic use-
dc.subject.meshFacial Pain - psychology - therapy-
dc.subject.meshPatient Acceptance of Health Care-
dc.titleInvestigation of factors associated with treatment-seeking in Southern Chinese with orofacial pain.en_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=1064-6655&volume=24&issue=2&spage=181&epage=188&date=2010&atitle=Investigation+of+factors+associated+with+treatment-seeking+in+Southern+Chinese+with+orofacial+pain-
dc.identifier.emailMcMillan, AS: annemcmillan@hku.hken_HK
dc.identifier.emailWong, MC: mcmwong@hkucc.hku.hken_HK
dc.identifier.emailLam, CL: clklam@hku.hken_HK
dc.identifier.authorityMcMillan, AS=rp00014en_HK
dc.identifier.authorityWong, MC=rp00024en_HK
dc.identifier.authorityLam, CL=rp00350en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.pmid20401356-
dc.identifier.scopuseid_2-s2.0-77954932817en_HK
dc.identifier.hkuros177531en_US
dc.identifier.volume24en_HK
dc.identifier.issue2en_HK
dc.identifier.spage181en_HK
dc.identifier.epage188en_HK
dc.identifier.isiWOS:000277672600006-
dc.publisher.placeUnited Statesen_HK
dc.identifier.scopusauthoridZheng, J=7403975364en_HK
dc.identifier.scopusauthoridMcMillan, AS=7102843317en_HK
dc.identifier.scopusauthoridWong, MC=26029250900en_HK
dc.identifier.scopusauthoridLuo, Y=49161174100en_HK
dc.identifier.scopusauthoridLam, CL=24755913900en_HK

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